US4863470A - Identification marker for a breast prosthesis - Google Patents

Identification marker for a breast prosthesis Download PDF

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Publication number
US4863470A
US4863470A US07/102,752 US10275287A US4863470A US 4863470 A US4863470 A US 4863470A US 10275287 A US10275287 A US 10275287A US 4863470 A US4863470 A US 4863470A
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United States
Prior art keywords
prosthesis
implantation
shell
marker
radiolucent
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
US07/102,752
Inventor
Garry L. Carter
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Medical Engineering Corp
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Medical Engineering Corp
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Publication date
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Priority to US07/102,752 priority Critical patent/US4863470A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/12Mammary prostheses and implants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00902Material properties transparent or translucent
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

Definitions

  • This invention relates to prostheses and more particularly to an identification marker incorporated into a breast prosthesis.
  • Mammary prostheses or implants must be available in numerous sizes to replicate the wide range of breast sizes of female patients.
  • the implant's size be readily ascertainable after it has been separated from its packaging.
  • the size of the implant can be determined by direct measurement, or it can be marked with lettering which indicates its size.
  • the former means of determining an implant's size can be awkward and time consuming.
  • the latter technique has been found relatively successful when direct viewing of the implant is possible; however, there remains a need for the ability to determine the size of an implant after it has been implanted into a patient. In such a situation, the letter markings on the implant which are presently in use are inadequate since they cannot be read when the implant is in the body.
  • a prosthesis for subcutaneous implantation which includes a container having a radiolucent portion surrounding a radiopaque identification marker.
  • the identification marker is visible and easily readable by eye prior to implantation and readable from an x-ray photograph of the prosthesis after implantation.
  • the prosthesis is a breast implant which has a radiolucent silicone elastomeric shell containing a radiolucent silicone gel and a radiopaque identification marker within the gel.
  • Other implants or prostheses such as penile, artificial bladder and incontinence devices, may also incorporate the identification marker advantageously.
  • FIG. 1 is a top plan view of a mammary prosthesis which incorporates a marker in accordance with the present invention
  • FIG. 2 is a cross-sectional taken along line 2--2 of FIG. 1;
  • FIG. 3 is a schematic view of an x-ray being taken of the mammary prosthesis of FIG. 1 implanted in the breast of a female patient;
  • FIG. 4 is a cross-sectional view taken along line 4--4 of FIG. 3.
  • a mammary implant or prosthesis generally designated by the numeral 10 includes a shell 12 filled with a gel 14.
  • the shell 12 is made of a radiolucent material, preferably a silicone (polymeric) elastomer. Suitable shell materials include organo siloxane copolymers of the type set forth in U.S. Pat. No. 3,665,520.
  • the gel 14 which fills the shell 12 is also radiolucent and is preferably a silicone gel.
  • a particularly suitable gel 14 is a liquid methyl silicone resin capable of being vulcanized blended with a dimethyl silicone fluid.
  • Other suitable mammary prostheses which comprise flexible shells of a silicone polymer filled with a silicone gel are well-known in the art, see e.g. U.S. Pat. No. 3,293,663 to Cronin.
  • the implant 10 includes within the shell 12 an identification marker or tab 16 which denotes the size of the implant 10.
  • the tab 16 is made from material which is radiopaque, such as silicone with bismuth trioxide or silicone with barium sulfate. As shown most clearly in FIG. 1, the tab 16, which is formed preferably by molding, reads "SIZER 500" signifying that this prosthesis has a volume of 500 cubic centimeters. Clearly, this tab 16 can be molded or shaped, prior to insertion within the container, so as to provide other or additional identifying information, for example the manufacturer, year of manufacture, and type of prosthesis. Any information considered appropriate for retrieval prior to or after implantation can be coded into the tab 16. Information concerning the implanted prosthesis can subsequently be obtained by x-ray of the implanted prosthesis 10 without resorting to surgery or autopsy.
  • the identification tab 16 is inserted into the gel-filled shell 12 prior to the sealing of the shell 12.
  • the high viscosity of the gel 14 retards movement of the tab so that the tab 16 can be manually positioned and naturally retained within the shell 12 in an orientation easily recordable on an x-ray plate.
  • the tab 16 can be affixed with an adhesive to the interior of the shell 12.
  • the size of the prosthesis 10 can be readily ascertained prior to implantation since the tab 16 is readily visible.
  • a physician or other medical personnel can readily ascertain the size of the implant 10 upon x-ray of the patient 20 with standard x-ray equipment 22, as shown in FIGS. 3 and 4. Consequently, the size of the implant 10 can be readily determined either before or after the implantation of the prosthesis.

Abstract

A radiopaque identification marker is incorporated into a radiolucent prosthesis, such as a breast implant. The marker denotes data which is ascertainable prior or subsequent to implantation.

Description

This is a continuing application of application Ser. No. 713,517 filed Nov. 19, 1985 titled "Identification Marker for a Breast Prosthesis", now abandoned.
FIELD OF THE INVENTION
This invention relates to prostheses and more particularly to an identification marker incorporated into a breast prosthesis.
BACKGROUND OF THE INVENTION
Mammary prostheses or implants must be available in numerous sizes to replicate the wide range of breast sizes of female patients. In order to reduce the possibility of confusion in the operating room, it is preferable that the implant's size be readily ascertainable after it has been separated from its packaging. At the present time, the size of the implant can be determined by direct measurement, or it can be marked with lettering which indicates its size. The former means of determining an implant's size can be awkward and time consuming. The latter technique has been found relatively successful when direct viewing of the implant is possible; however, there remains a need for the ability to determine the size of an implant after it has been implanted into a patient. In such a situation, the letter markings on the implant which are presently in use are inadequate since they cannot be read when the implant is in the body.
Similarly, other types of implants, including penile, bladder and incontinence devices, would benefit from being readily identifiable both prior and subsequent to implantation.
It is therefore an object of the present invention to provide an implant with a tab or marker which indicates the size of the implant in the absence of its packaging and without the need for measuring devices.
It is also an object of the present invention to provide an implant with a marker which facilitates the determination of the size of an implant after it has been implanted.
It is a further object of the present invention to provide an implant which provides identifying information that is ascertainable both prior and subsequent to implantation.
SUMMARY OF THE INVENTION
In accordance with these and other objects there is provided by the present invention a prosthesis for subcutaneous implantation which includes a container having a radiolucent portion surrounding a radiopaque identification marker. The identification marker is visible and easily readable by eye prior to implantation and readable from an x-ray photograph of the prosthesis after implantation.
Preferably, the prosthesis is a breast implant which has a radiolucent silicone elastomeric shell containing a radiolucent silicone gel and a radiopaque identification marker within the gel. Other implants or prostheses, such as penile, artificial bladder and incontinence devices, may also incorporate the identification marker advantageously.
DESCRIPTION OF THE DRAWINGS
Other objects and advantages will become apparent to those skilled in the art when the following detailed description is read in conjunction with the accompanying drawings, wherein:
FIG. 1 is a top plan view of a mammary prosthesis which incorporates a marker in accordance with the present invention;
FIG. 2 is a cross-sectional taken along line 2--2 of FIG. 1;
FIG. 3 is a schematic view of an x-ray being taken of the mammary prosthesis of FIG. 1 implanted in the breast of a female patient; and
FIG. 4 is a cross-sectional view taken along line 4--4 of FIG. 3.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now to the Figs. wherein a mammary implant or prosthesis generally designated by the numeral 10 includes a shell 12 filled with a gel 14. The shell 12 is made of a radiolucent material, preferably a silicone (polymeric) elastomer. Suitable shell materials include organo siloxane copolymers of the type set forth in U.S. Pat. No. 3,665,520. The gel 14 which fills the shell 12 is also radiolucent and is preferably a silicone gel. A particularly suitable gel 14 is a liquid methyl silicone resin capable of being vulcanized blended with a dimethyl silicone fluid. Other suitable mammary prostheses which comprise flexible shells of a silicone polymer filled with a silicone gel are well-known in the art, see e.g. U.S. Pat. No. 3,293,663 to Cronin.
The implant 10 includes within the shell 12 an identification marker or tab 16 which denotes the size of the implant 10. The tab 16 is made from material which is radiopaque, such as silicone with bismuth trioxide or silicone with barium sulfate. As shown most clearly in FIG. 1, the tab 16, which is formed preferably by molding, reads "SIZER 500" signifying that this prosthesis has a volume of 500 cubic centimeters. Clearly, this tab 16 can be molded or shaped, prior to insertion within the container, so as to provide other or additional identifying information, for example the manufacturer, year of manufacture, and type of prosthesis. Any information considered appropriate for retrieval prior to or after implantation can be coded into the tab 16. Information concerning the implanted prosthesis can subsequently be obtained by x-ray of the implanted prosthesis 10 without resorting to surgery or autopsy.
The identification tab 16 is inserted into the gel-filled shell 12 prior to the sealing of the shell 12. The high viscosity of the gel 14 retards movement of the tab so that the tab 16 can be manually positioned and naturally retained within the shell 12 in an orientation easily recordable on an x-ray plate. Alternatively, the tab 16 can be affixed with an adhesive to the interior of the shell 12.
Once a prosthesis 10 incorporating the size identifying tab 16 is separated from its packaging, the size of the prosthesis 10 can be readily ascertained prior to implantation since the tab 16 is readily visible. After the prosthesis is implanted within the patient's breast 18, a physician or other medical personnel can readily ascertain the size of the implant 10 upon x-ray of the patient 20 with standard x-ray equipment 22, as shown in FIGS. 3 and 4. Consequently, the size of the implant 10 can be readily determined either before or after the implantation of the prosthesis.

Claims (10)

I claim:
1. A prosthesis for subcutaneous implantation in a patient comprising:
a container suitable for implantation, said container being at least partly transparent and having a radiolucent portion; and
a radiopaque identification marker at least partly surrounded by said radiolucent portion, said marker including alphanumeric symbols that are visible and readable by eye through said transparent part of said container prior to implantation and readable after implantation from an x-ray photograph of the patient.
2. The prosthesis of claim 1 wherein said container includes a radiolucent outer shell and a radiolucent material encased within said shell, said marker being at least partly surrounded by said radiolucent material.
3. The prosthesis of claim 1 wherein said container is suitably shaped for implantation in a patient's breast, said shell is a silicone elastomer and said material is a silicone gel.
4. The prosthesis of claim 2 wherein said identification marker is made of silicone with bismuth trioxide.
5. The prosthesis of claim 3 wherein said identification marker is made of silicone with barium sulfate.
6. The prosthesis of claim 3 wherein said identification marker is secured to an inner wall of said shell.
7. The prosthesis of claim 3 wherein said identification marker is substantially fixed in position within said silicone gel.
8. A mammary prosthesis for subcutaneous implantation in a patient comprising:
a radiolucent and transparent silicone elastomer shell;
a radiolucent and transparent silicone gel contained within said shell; and
a radiopaque identifying marker within said gel, said marker including alphanumeric symbols that are readable by eye through said transparent shell and gel prior to implantation and readable after implantation from an x-ray photograph of the patient.
9. The prosthesis of claim 3 wherein said gel has a high viscosity so as to enable said identification marker to be located in a fixed position in said gel.
10. The prosthesis of claim 3 wherein said identification marker is shaped to indicate the prosthesis size.
US07/102,752 1985-03-19 1987-09-24 Identification marker for a breast prosthesis Expired - Fee Related US4863470A (en)

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US07/102,752 US4863470A (en) 1985-03-19 1987-09-24 Identification marker for a breast prosthesis

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US71351785A 1985-03-19 1985-03-19
US07/102,752 US4863470A (en) 1985-03-19 1987-09-24 Identification marker for a breast prosthesis

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